RESUMO
INTRODUCTION: In coxarthrosis pain relief and the restoration of function including leg length are achieved with total hip arthroplasty. Sometimes achieving stability makes it impossible to achieve equal leg length. OBJECTIVE: To determine the incidence of pelvic limb length discrepancy, its effect on function and its emotional effect in a group of patients who underwent total hip arthroplasty. MATERIAL AND METHODS: A total of 252 patients with a diagnosis of grade IV coxarthrosis were assessed. They underwent unilateral primary total hip arthroplasty with a direct lateral approach; 190 were uncemented and 162 hybrid. Limb length was measured from the anterosuperior iliac crest to the medial malleolus of both legs. Patients were divided into four groups depending on leg length discrepancy: A) equal length; B) less than 10 mm; C) more than 10 mm, and D) more than 20 mm. RESULTS: A total of 252 arthroplasties were performed in 252 patients; 194 females (76.98%) and 58 males (23.01%). In 115 patients (45.63%) had a discrepancy < 10 mm; 71 patients (28.17%) > 10 mm; 60 patients (23.80%) did not have length discrepancy, and six patients had > 20 mm of discrepancy with lengthening of the operated limb. CONCLUSIONS: Length discrepancy of the operated limb is reported in the literature. It is a common outcome of primary total hip arthroplasty, and is usually < 10 mm, as reported in world literature.
Assuntos
Artroplastia de Quadril/efeitos adversos , Desigualdade de Membros Inferiores/etiologia , Artralgia/etiologia , Artralgia/prevenção & controle , Emoções , Feminino , Objetivos , Humanos , Incidência , Instabilidade Articular/prevenção & controle , Desigualdade de Membros Inferiores/epidemiologia , Desigualdade de Membros Inferiores/psicologia , Masculino , Osteoartrite do Quadril/cirurgia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Recuperação de Função Fisiológica , Técnicas de SuturaRESUMO
Treinta pacientes, todos ellos mayores de 17 anos, con dolor posquirurgico de cirugia ortopedica, moderado o severo, fueron seleccionados al azar para recibir 500 mg de diflunisal dos veces al dia o dimetilpirazolona 1 g tres veces al dia, por via oral durante cinco dias. Diflunisal fue analgesicamente mas efectivo desde el primero al ultimo dia del tratamiento, que la dimetilpirazolona. La evaluacion de la efectividad fue la misma tanto por el paciente como por el investigador.No se observaron efectos colaterales en ninguno de los dos grupos